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Michigan Department of Licensing <br />and Regulatory Affairs <br />530 West Allegan Street <br />P.O. Box 30645 <br />Lansing, MI 48909 <br />Phone: (517) 284-7680 Fax: (517) 284-7685 <br />Inspection Number: <br />Inspection Date: <br />Issuance Date(s): <br />Optional Reporting Number: <br />CSHO ID: S 1992 <br />1093271 <br />09/21/2015 - 09/21/2015 <br />10/01/2015 <br />15-158/21 <br />PROPOSED PENALTY INVOICE <br />Company Name: Hardman Construction, Inc. <br />Inspection Site: CR 420 Bridge over Escanaba River <br />Gladstone, MI 49837 <br />Summary of Penalties for Inspection Number: 1093271 <br />Citation 1 Item 1, Other -than -Serious $0.00 <br />TOTAL PROPOSED PENALTIES: $0.00 <br />Correcting a violation prior to the expiration of the abatement date does not eliminate the requirement to pay the penalty. <br />Payment of the penalty does not eliminate the requirement of correcting the violation. <br />The state does not agree to any restrictions or conditions or endorsements put on any check or money order for less than full <br />amount due, and will cash the check or money order as if these restrictions, conditions, or endorsements do not exist. <br />Payment must be made within 15 working days of the date a proposed penalty of a citation item becomes a final order of the <br />board. This would be the thirtieth (30th) working day after receipt of each citation item which is not appealed. For the <br />payment of any penalty, make a check or money order payable to the "State of Michigan" and remit to the Department of <br />Licensing and Regulatory Affairs at the address shown on the citation. PLEASE RECORD THE APPLICABLE <br />INSPECTION NUMBER, CITATION NUMBER(S) AND ITEM NUMBER(S) ON THE CHECK, MONEY ORDER OR <br />YOUR TRANSMITTAL LETTER. <br />Enclose this invoice page (or a copy thereof) with your payment. <br />Authorized Signature <br />Sunimmy Citation and Notifiontion of Penalty Ntpc 5 or _ M108ITA-2 (Rev, 09/1 i) <br />